New Mexico Public Schools Insurance Authority

Forms and Documents

Employee Enrollment Application Click on this link to get current form. Also get the back page.
Board Member Application Front Board Member Application Back Click on this link to get current form.
Retirees Click on this link if you have retired from or will be retiring from your entity to get current forms.
Change Card Click on this link to get the Record Change Card Form. Also get the back page.
Employee Authorization Form This document is a Microsoft Word document.
Schedule A for Beneficiary Designation This document is a PDF document.
Schedule B for Birth Registration This document is a Microsoft Word document.
Schedule C for Marriage Registration This document is a Microsoft Word document.
Beneficiary Questions This document is a Microsoft Word document.
Affidavit for Domestic Partner (School must offer coverage for Domestic Partners for this to apply.) This document is a Microsoft Word document.
Sample 2007-2008 Part Time Resolution This document is a Microsoft Word document.